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General NPI Number Information
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NPI Number | 1700700960
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Entity Type | Organization
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Legal Business Name | VERITAS CLINICAL GROUP, LLC
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Dates
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Enumeration Date | 08/08/2026
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Last Update Date | 08/08/2026
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Provider Practice Location Address
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Address Line | 638 RIVERFRONT DR STE G10A
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City | SHEBOYGAN
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State | WI
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Zip | 53081-4629
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Country | US
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Telephone | 414-249-1273
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Fax |
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Provider Business Mailing Address
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Address Line | 504 SOUTHTOWNE DR APT Y203
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City | SOUTH MILWAUKEE
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State | WI
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Zip | 53172-4184
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Country | US
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Telephone | 414-249-1273
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | REYNALDO ORTIZ-MALDONADO
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Credential | LCSW
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Telephone | 414-249-1273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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